Follow-up of functional exercise capacity in patients with COVID-19 : It is improved by telerehabilitation
Copyright © 2021 Elsevier Ltd. All rights reserved..
BACKGROUND: The impact of the COVID-19 pandemic on functional exercise capacity seemed quickly clinically evident. The objective of this study was to assess the functional exercise capacity of patients with severe COVID-19 and to evaluate the effect of a telerehabilitation program in the specific context of the COVID-19 pandemic.
METHOD: Patients hospitalized for severe or critical COVID-19 were recruited. The functional exercise capacity (1-min sit-to-stand test (STST)) was prospectively quantified at discharge. A telerehabilitation program was then proposed. A control group was composed with the patients refusing the program.
RESULTS: At discharge, none of the 48 recruited patients had a STST higher than the 50th percentile and 77% of them were below the 2.5th percentile. SpO2 was 92.6 ± 3.0% after STST and 15 patients had oxygen desaturation. After 3-months of follow-up, the number of repetitions during STST significantly increased either in telerehabilitation (n = 14) (p < 0.001) or in control groups (n = 13) (p = 0.002) but only one patient had a result higher than the 50th percentile (in Telerehabilitation group) and 37% of them were still under the 2.5th percentile for this result. The improvement was significantly and clinically greater after the telerehabilitation program (p = 0.005). No adverse events were reported by the patients during the program.
CONCLUSIONS: Patients hospitalized for COVID-19 have a low functional exercise capacity at discharge and the recovery after three months is poor. The feasibility and the effect of a simple telerehabilitation program were verified, this program being able to substantially improve the functional recovery after three months.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:183 |
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| Enthalten in: |
Respiratory medicine - 183(2021) vom: 01. Juli, Seite 106438 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Martin, Ines [VerfasserIn] |
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| Links: |
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| Themen: |
COVID |
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| Anmerkungen: |
Date Completed 01.06.2021 Date Revised 21.12.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.rmed.2021.106438 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM325164908 |
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| 100 | 1 | |a Martin, Ines |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Follow-up of functional exercise capacity in patients with COVID-19 |b It is improved by telerehabilitation |
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| 500 | |a Date Revised 21.12.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Elsevier Ltd. All rights reserved. | ||
| 520 | |a BACKGROUND: The impact of the COVID-19 pandemic on functional exercise capacity seemed quickly clinically evident. The objective of this study was to assess the functional exercise capacity of patients with severe COVID-19 and to evaluate the effect of a telerehabilitation program in the specific context of the COVID-19 pandemic | ||
| 520 | |a METHOD: Patients hospitalized for severe or critical COVID-19 were recruited. The functional exercise capacity (1-min sit-to-stand test (STST)) was prospectively quantified at discharge. A telerehabilitation program was then proposed. A control group was composed with the patients refusing the program | ||
| 520 | |a RESULTS: At discharge, none of the 48 recruited patients had a STST higher than the 50th percentile and 77% of them were below the 2.5th percentile. SpO2 was 92.6 ± 3.0% after STST and 15 patients had oxygen desaturation. After 3-months of follow-up, the number of repetitions during STST significantly increased either in telerehabilitation (n = 14) (p < 0.001) or in control groups (n = 13) (p = 0.002) but only one patient had a result higher than the 50th percentile (in Telerehabilitation group) and 37% of them were still under the 2.5th percentile for this result. The improvement was significantly and clinically greater after the telerehabilitation program (p = 0.005). No adverse events were reported by the patients during the program | ||
| 520 | |a CONCLUSIONS: Patients hospitalized for COVID-19 have a low functional exercise capacity at discharge and the recovery after three months is poor. The feasibility and the effect of a simple telerehabilitation program were verified, this program being able to substantially improve the functional recovery after three months | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a COVID | |
| 650 | 4 | |a Functional exercise capacity | |
| 650 | 4 | |a Telerehabilitation | |
| 700 | 1 | |a Braem, Fred |e verfasserin |4 aut | |
| 700 | 1 | |a Baudet, Lia |e verfasserin |4 aut | |
| 700 | 1 | |a Poncin, William |e verfasserin |4 aut | |
| 700 | 1 | |a Fizaine, Stéphane |e verfasserin |4 aut | |
| 700 | 1 | |a Aboubakar, Frank |e verfasserin |4 aut | |
| 700 | 1 | |a Froidure, Antoine |e verfasserin |4 aut | |
| 700 | 1 | |a Pilette, Charles |e verfasserin |4 aut | |
| 700 | 1 | |a Liistro, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a De Greef, Julien |e verfasserin |4 aut | |
| 700 | 1 | |a Yildiz, Halil |e verfasserin |4 aut | |
| 700 | 1 | |a Pothen, Lucie |e verfasserin |4 aut | |
| 700 | 1 | |a Yombi, Jean-Cyr |e verfasserin |4 aut | |
| 700 | 1 | |a Belkhir, Leïla |e verfasserin |4 aut | |
| 700 | 1 | |a Reychler, Gregory |e verfasserin |4 aut | |
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